Laserfiche WebLink
BUSINESSNAME BP01LFACJlTy#11j35 I <br />FACILITY STREET ADDRESS 16500 Louise <br />CI ZIP 95130 <br />FACILITY TELEPHONE <br />MAILING ADDRESS sAmE A,$ A 30VF <br />TELEPHONE ( <br />(if different from Company Headquarters) <br />LOCAL PRIMARY BUSINESS EMERGENCY CONTACT <br />NAME Nasser Arabian <br />RESIDENCE 16500 1 nui-q <br />TELEPHONE (OFFICE) 1• -983-)381 (HOME)( 20 <br />LOCAL ALTERNATE BUSINESS EMERGENCY CONTACT <br />NAME I_65C6 eF_FiN1N(; q'M4,tZKFT-,tqC <br />, <br />RESIDENCE— 601 Vufe" 5:T, ZSZO A-rrLF- WA <� S 10 1 <br />TELEPHONE (OFFICE)( ? c6 )_ "Z- -97 06o (HOME) ( 800 ) Z8 47568 <br />24-HOUR ON-SITE CONTACT N/A TELEPHONE <br />(If Available) <br />L-orcl oi perjury that I have reviewed this entire Hazardous materials Manage. <br />ment Plan and it is accurate to the best of my knowledge. I understand thatfalsefinaccurate infor- <br />mation may contribute to complications during a hazardous material incident' Mis declaration is <br />made in the City of L 3throp California. <br />NAME OF ON-SITE MANAGER Nasser Arabian TrrLE Dealer <br />MRRM <br />SIGNATURE OF ON-SITE MANAGER <br />DATE <br />NAMEOFPERSON Nasser Arabian <br />Responsible for the completion of BAuqp T= Dealer <br />trwKn <br />SIGNATURE <br />DATE <br />sm <br />